| Whispering Palms Medical Inc | |
|
1108 W Indian School Rd Ste B Phoenix AZ 85013-3107 | |
| (602) 773-5600 | |
| Not Available |
| Full Name | Whispering Palms Medical Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1108 W Indian School Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Shallu Vaid (OWNER) |
| Authorized Official Contact | 6235234667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whispering Palms Medical Inc 1108 W Indian School Rd Ste B Phoenix AZ 85013-3107 Ph: (602) 773-5600 | Whispering Palms Medical Inc 1108 W Indian School Rd Ste B Phoenix AZ 85013-3107 Ph: (602) 773-5600 |
| NPI Number | 1821314998 |
|---|---|
| Provider Enumeration Date | 04/14/2010 |
| Last Update Date | 10/24/2011 |
| Medicare PECOS PAC ID | 3678607173 |
|---|---|
| Medicare Enrollment ID | O20100819000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821314998 | NPI | - | NPPES |
| Z139130 | Other | AZ | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeanette Anuddin Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891971628 PECOS PAC ID: 0042355414 Enrollment ID: I20100310000226 |
| Provider Name | Jason E Gittman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255469599 PECOS PAC ID: 3678733565 Enrollment ID: I20120330000277 |
| Provider Name | Elena I Ivanova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396132312 PECOS PAC ID: 3375855349 Enrollment ID: I20150703000045 |
| Provider Name | Nikcole Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780074211 PECOS PAC ID: 6204149370 Enrollment ID: I20150717002103 |
| Provider Name | Chelsea M Hoese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932593829 PECOS PAC ID: 8820302219 Enrollment ID: I20150729008283 |
| Provider Name | Jerwonna Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033503305 PECOS PAC ID: 9931415577 Enrollment ID: I20150827002516 |
| Provider Name | Joyce B Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013373976 PECOS PAC ID: 7416255781 Enrollment ID: I20160420000649 |
| Provider Name | Chetan S Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053775635 PECOS PAC ID: 6709175870 Enrollment ID: I20160512000525 |
| Provider Name | Victoria L Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023567435 PECOS PAC ID: 4688953359 Enrollment ID: I20161121001479 |
| Provider Name | Lilian L Laimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407392806 PECOS PAC ID: 1355626177 Enrollment ID: I20170317001359 |
| Provider Name | Jennifer Withee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790115905 PECOS PAC ID: 8527335033 Enrollment ID: I20170602002038 |
| Provider Name | Shinelle Yvette Lentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376052225 PECOS PAC ID: 9133485170 Enrollment ID: I20171108001420 |
| Provider Name | Maria Angelica Mendoza Ferrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144735937 PECOS PAC ID: 3779822655 Enrollment ID: I20190312001145 |
| Provider Name | Kathy Katayoun Nafisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811468465 PECOS PAC ID: 8123354529 Enrollment ID: I20190723002393 |
| Provider Name | Vickey Star Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538723465 PECOS PAC ID: 9234561820 Enrollment ID: I20191120001615 |
| Provider Name | Oluwayemisi Okon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508408642 PECOS PAC ID: 8628403649 Enrollment ID: I20200122001821 |
| Provider Name | Mamatha Vodapally |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588300743 PECOS PAC ID: 2365818812 Enrollment ID: I20221025000791 |
| Provider Name | Harold Alexander Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154041499 PECOS PAC ID: 9537531983 Enrollment ID: I20230210001248 |
| Provider Name | Brittany Diane Saenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801509716 PECOS PAC ID: 0446617724 Enrollment ID: I20230531002869 |
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